HomeMy WebLinkAboutHVAC F5-105-996
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ON THE WATER
H.V.A.C. PLAN APPROVAL
City of Oshkosh
Code Enforcement Division
215 Church Avenue
P.O. Box 1130
Oshkosh. WI 54902-1130
DATE 11/27/96
COMPANY NAME TEMPERATURE SYSTEMS INC
ADDRESS
POBOX 12088
CITY/STATE
GREEN BAY WI 54307-2088
ATTENTION:
MR. O'CONNELL
INSTALLATION ADDRESS 304 HIGH ST
OWNERS NAME
TERRI HANSEN
FILE
F 5-105-996
BUILDING USE
OFFICE BUILDING
HEATING AND VENTILATING PLANS HAVE BEEN REVIEWED BY THIS OFFICE FOR
COMPLIANCE WITH IMPORTANT CODE REQUIREMENTS.
ALL ITEMS THAT ARE REQUIRED TO BE CHANGED BY THIS LETTER, MUST BE
CORRECTED BEFORE COMMENCING THAT PART OF THE WORK.
THIS APPROVAL IS NOT A HEATING PERMIT. NECESSARY CITY PERMITS MUST
BE SECURED BEFORE COMMENCING WORK.
YOU ARE HEREBY ADVISED THAT THE OWNER, AS DEFINED IN CHAPTER
101.01(1) OF THE WISCONSIN STATE STATUTES, IS RESPONSIBLE FOR ALL CODE
REQUIREMENTS NOT SPECIFICALLY CITED HEREIN. CODE REQUIREMENTS ARE SET
FORTH IN CHAPTERS 50 THROUGH 64 OF THE RULES OF THE DEPARTMENT OF
INDUSTRY, LABOR, AND HUMAN RELATIONS.
THE BUILDING WILL BE INSPECTED DURING CONSTRUCTION AND A FINAL
INSPECTION WILL BE MADE AFTER COMPLETION TO INSURE COMPLETE
COMPLIANCE WITH CITY AND STATE CODES.
.'
, ....>~:
THE ARCHITECT, PROFFESIONAL ENGINEER, BUILDER OR OWNER SHALL
KEEP AT THE BUILDING ,AS EVIDENCE OF APPROVAL, ONE SET OF PLANS
BEARING THE STAMP OF APPROVAL.
SINCERELY,
.~~
LEE A. ERDMANN
H.V.A.C. INSPECTOR
,.^"*"
,.
BUILDING/sTRUCTURE/HVAC PLANS AeeROVAL APPLICATION
-Complete Both Sides-. ! .. . .
E-File
Wisconsin Department of Industry,
Labor & Human Relations
Safely & Buildings Division
Scheduling information - complete
when calling to schedule review:
~
Plan No.
INSTRUCTIONS: Fill in all applicable data. Caution: Failure to complete the form entirely may cause additional delay. Submittal of this Plans Approval
Application is required for ~ building. Submit this form with at least 4 sets of plans which include details and data as required by ILHR 50.12. Plans may be
submitted to any of the plan review offices listed on the reverse side. Projects are scheduled for review. Please call the selected office prior to submittal.
Any components submitted independently from the building plans must be submitted to the offices which did the project's initial review. Personal information
you provide may be used for secondary purposes. [Privacy Law s. 15.04 (1)(m)].
Telephone Number
( )
Fax Number
( )
4. Building History
Previous Owner (If any)
Previous Plan or File No.
Variance No. Preliminary No.
Other information (previous use, last submission)
7. Building Information
o Complete Sprinkler - NFPA
o Partial Sprinkler - NFPA
o Unlimited Area 0 Smoke Detection
o Fire Alarm 0 Emergency Power
Total cubic foot volume of the building upon
completion of this project: 0 Less than 50,000
. 50,000 or Greater
Total Number of Stories
Entire Building Footprint Area
Soil Bearing Capacity
o Presumed 0 Verified
Erosion Control Information:
o Less than 5 acrEls disturbed
o 5 or more acres disturbed
o Energy Tradeoffs Used
Building, lighting, and HVAC must be
submitted together.
. Energy Tradeoffs Not Used
Building and lighting must be submitted
together. HVAC may be submitted separately.
sq. ft.
psf
2. Project Information
Building Occupancy Chapter(s) And Use
-4-- C9
Tenant Name (If Any)
o Township of
c;;.:-o
o. (tax parcel no. - contact county)
Government Owned
Government Leased or Operated
5. Submittal Request
Proiect
o New
. Alteration
o Addition
o Revisions
o Use Change
o ILHR 70 Hist Code
[J Yes . No
o Yes No
3. Buildin
Designer
o Variance
o Preliminary
o Canopy
o Bleacher
o Tower
o Other: (specify)
Review Reauested: 0 Permission to Start
o Footing/Foundation . HVAC
o Building 0 Structural Component
8. Construction Class Requested
o 1. Fire Resistive Type A
o 2. Fire Resistive Type B
o 3 Metal Frame Protected
o 4. Heavy Timber
o 5A. Exterior Masonry - Protected
o 5B. Exterior Masonry - Unprotected
o 6. Metal Frame - Unprotected
o 7. Wood Frame - Protected
o 8. Wood Frame - Unprotected
If plans do not show compliance with requested Construction class
but are approvable at a lower class. do you wish approval at the
lower class? Yes No
9. Multifamil Dwellin Data ani
Type of Fire Protection:
o Automatic Sprinkler 0 2 Hour Rating
Total Area of Dwelling Units =
Nondwelling Units Portion =
Number of Dwelling Units: (BR = Bedroom)
1 BR 2 BR 3 BR 4 BR
Design Firm
Number & Street
City, State, Zip Code
Contact Person
Telephone Number Fax Number
() ()
Return Plans To: 0 Owner . Designer
o Other: (specify)
6. HVAC Designer Information
Designer Registration #
D
o For Building
o Same as Building Designer
. For HVAC
. Same as HVAC Designer
Supervising Prof (if different from designer)
Registration #
sq ft
sq ft
Number & Street
City, State, Zip Code
Telephone Number
o Type 8 Modified 66.33 (2)(b) ()
11. Related Business Systems . Please caUthe respective Program for clarification and plan submittal requirements.
o Fire Service Provided 0 Flammable/Combustible Liquid (608) 206-5824 0 Boiler/Pressure Vessel (608) 266-1904
o Limited Use/Access Will any portion of this building be used for 0 Mechanical Refrigeration (608) 266-1904
o Passenger elevator meeting ILHR 18 req. storage or dispensing of flammable/combustible 0 Plumbing (608) 266-3815
o Freight elevator meeting ILHR 18 req. liquids as covered by ILHR 10? Sewer:
o Part 5 lift (residential type) 0 Yes 0 No 0 Municipal 0 Private Sewage System
o Part 20 lift (wheelchair lift)
SBD-118 (R,12/95)
...
,
. .
. CONTINUED ON REVERSE SIDE.
.
;....;.,'.,. ,..............-,-"..
12. CALCULATION OF FEES
~: The area of a floor is the area bounded by the exterior surface of the building walls or the outside face of columns wherethere
is no wall. Area includes all floor levels such as subbasements, basements, ground floors, mezzanines, balconies, lofts, all stories and~
and all roofed areas including porches and garages, except for cantilevered canopies on the building wall. Use the roof area for free
standing canopies. Total area is the summation of all floor areas.
Attach a separate sheet if necessary for the calculations below:
Area
.:3E3 r"] (0
o Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1)
11 Project located in certified municipality (go to Fee Schedule Table 2.31-2)
(See Fee Schedule for list of certified municipalities.) .
o Building and HVAC .....................................................................................................;............... Fee $
o Building Only .............................................,................................................................................ Fee $
III HVAC Only ................................................................................................................................. Fee $ ~ ~O. oW
o Revision to Previously Approved Plan........................................................................................ Fee $
o Permission to Start ..................................................................................................................... Fee $
o Pre-July 1992 Building Components .......................................................................................... Fee $
o Other ............................................ Fee $
13. OWNER'S STATEMENT (ILHR 50.11): 1 request that plans be reviewed for compliance with the code requirements set forth in
Chapters ILHR 50-64, 66, 69 of the rules of the department. I recognize that I arn responsible for compliance with all code
requirements and any conditions of plan approval. If this building exceeds 50,000 cubic feet in total volume, I will retain a
supervising professional as required by ILHR 50.10 throughout construction to project completion and the filing of a Compliance
Statement by the supervising professional prior to occupancy.
3 SilCo
Owner's Signatu~e:
Name & Title
(Original)
(Please Print)
15. SUPERVISING PROFESSIONAL'S STATEMENT
(ILHR 50.10) I have been retained by the owner as the
supervising professional per ILHR 50.10 for the
performance of supervision of reasonable on-the-site
observations to determine if the construction is in
substantial compliance with the approved plans and
specifications. Upon completion of construction, I will file
a written statement with the department certifying that, to
the best bf my knowledge and belief, construction has or
has not been performed in substantial compliance with
the a roved lans and s ecifications.
14. DESIGNER'S STATEMENT
DESIGN (ILHR 50.07-50.09) if this building, following
construction of this project, contains more than 50,000 cubic
feet in total volume, plans are required to be prepared, signed,
sealed and dated by a Wisconsin registered engineer or
architect (ILHR 50.07(2)). Signatures and seals shall be
original. I certify that the submitted plans were prepared
under my supervision, are accurate, and to the best of my
knowledge comply with the applicable codes of the
Department of Industry, Labor and Human Relations.
16. ORIGINAL SIGNATURES Si n in A licable S ace
Bldg. HVAC Designer and Supervising Professional
Date Signed
Bldg. Designer and Supervising Professional
Date Signed
HVAC Designer and S ervising Professional
Other: Date Signed
17. COMPONENTS SUBMITTED SEPARATE FROM BUILDING
The department expects, and requires that the project designer review individu~1 component submittals for compliance with the
general design concept. The project designer, and department, will rely on the seal of the component designers for compliance
with the codes as they apply to their designs.
Original Signature of Building Designer (Component Submittal) Date Signed Name of Component Fabricator
La Crosse Office
2226 Rose Street
La Crosse, WI 54603
Phone: (608) 785-9334
Fax: (608) 785-9330
Madison Office
201 E. Washington Ave.
P.O. Box 7969
Madison, WI 53707
Phone: (608) 266-3151
Fax: (608) 261.6699
l;hawal1o.Qffice .... .... ....
1340 E. Green Bay Street
Shawano, WI 54166
Phone: (715) 524-3626
Fax: (715) 524-3633
.""Wl!!!~e!l!'1.!l9ff!c;e,'J'. . ,.
, 401 Pilot Court, SuiteC
Waukesha, WI 53188
Phone: (414) 548-8600
Fax: (414) 548-8614
Hayward Office
209 W. 1 st Street
Rt. 8, Box 8072
Hayward, WI 54843
Phone: (715) 634-4870
Fax: (715) 634-5150
~
Engineering Calculations HVAC Index/Cover Sheet
(SHT NO)
AREA
BL-C<;:'. ~~\lPr\\O~
PROJECT: T\~\ r\(~..\J.S~
ADDRESS: ~(C)L\. r\ l~r\ <ST,
CITY: e>St\ \,~d~t-\ \ LU \.
PLAN NO.:
*
PROJECT NO.:
NSlo
Heat Loss Cal.
Heat Gain Cal.
= Vent Cal.
= Summary
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TOTAL H.L. 3 to I C?:J- \
TOTAL V.L. 11f) I Cb3L/-
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TOTAL H.L. & V.L.~-;2 I ~S~
TOTAL CFM (O.S. AIR) 1 {O 0 A
TOTAL H.G.
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HEATSOURCE Il bE I \.
MFGJMODEL ~pJ.2R.u=\Z ~B"'I c.. R \ -.z.. 0 ~l c ~- \ ~
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TOTAL INPUT \ .:2. 0 I 000
TOTAL OUTPUT \ \ \ '. 000
e l~RK\t=~ ,SB~\<B o~ 0
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COOL SOURCE
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TOTAL H.L. Y,3 I o..~
TOTALV.L. \ \ I 5\ e
TOTAL H.L. & V.L. '5 L.../l Sr, '3
TOTAL CFM (O.S. AIR)--1 6;0 ...
TOTAL H.G.
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TOTAlINPUT \?- c..<J\. 000
TOTAL OUTPUT \ \ \ \ (000
COOL SOURCE ~
MFG./MODEL eA.~(,-\ EK
11-5-
NOM. TONS :::t ~ _
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REMARKS
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TOTAL V.L.
TOTAL H.L. & V.L.
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TOTAL OUTPUT
rt~D W
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COOL SOURCE
MFG.lMODEL
NOM. TONS
REMARKS